HomeMy WebLinkAboutBuilding Permit 14-0430 DATE TIME
CITY OF PRIOR LAKE SCHEDULED
INSPECTION NOTICE
544 0
ADDRESS oe �=�'- e$ 5 u
OWNER CONTR.
PHONE NO. PERMIT NO. / — &/3'
0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOOTING0 MECH RI 0 COMPLAINT
❑ FOUNDATION 0 WATER HOOKUP 0 FIREPLACE RI
❑ FRAMING 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ INSULATION SINSPECTION 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ S
❑ FINALp MECH FINAL 0
COMMENTS:
Ewv
o
WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Contra
Inspector.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
,:s __PR
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
.. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2 / 4-
lease
'Ir
_____ ,yr
AND UTILITY CONNECTION PERMIT
f�'N E S
t.white File PERMIT NO. L{A/ [/�f ^(�
2. pink City j#
/ / V
ill3.Yellow Applicant
0
lease type or print and sign at bottom)
ADDRESS ZONING(office use)
3`610 jteS4Ee( ; 5W
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER C.
(Name) 7 Q..,-6, t�-, 1-e,So,,, (Phone) 9 s - 40 2- T 36 [
(Address)
BUILDER
(Company Name) 5vty P Cc.,,.s r,,,.,\;u,_ (Phone) Cc 12- 333-?G X"7
(Contact Name) a Le,,.✓ (Phone) CA k a-a 2 5-'2q/7
(Address) -es'),u -, AU.,,l..otk R-i-e S --,- \,,-,,„ ,„k4, t tnt'.- - �`t3 1
•
TYPE OF WORK 0 New Construction ['Deck ['Porch ORe-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
❑Addition ['Alteration ['Utility Connection
411;g
CODE: ❑I.R.C. ❑LB.C. Misc: ?S r1�w w a..rtai..:RIC
Type of Construction: I II IIIIV V AB
ccupancy Group: A B E F H I M R S U PROJECT COST/VALUE O G r u o
ivision: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for just
tccause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X %-�- G� . C.-(- 3`6O C$L k, -2-6- l Y
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 1 % 7
This Application Becomes Your Building Permit When Approved Paid ` /1- - eipt No. 792
Date S, Zj,,I /
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
401Fhen signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
sued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372